Movahed Mitra, Khaleghi-Nekou Melika, Alvani Elahesadat, Sharif-Alhoseini Mahdi
Department of Psychology, HELP University, Kuala Lumpur, Malaysia.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Disaster Med Public Health Prep. 2022 Mar 25;17:e120. doi: 10.1017/dmp.2022.27.
The consensus is that psychological first aid is a practical, early psychosocial intervention to mitigate the distress caused by disasters. This review aimed to investigate PFA training's efficacy in the existing studies and evaluate these programs' impact on trainees.
MEDLINE (National Library of Medicine, Bethesda, MD), EMBASE (Elsevier, Amsterdam, Netherlands), PsycInfo (American Psychological Association, Washington, DC), and Cochrane Library (John Wiley & Sons, Hobken, NJ, USA) were searched on August 1, 2020 without language and date limitation. The Cochrane Risk of Bias tool for randomized controlled trials and the Risk of Bias in Non-Randomized Studies - of Interventions (ROBINS-I) (Cochrane, London, UK) were used to assess the quality of the studies included. SPSS (IBM Corp., Endicott, NY, USA) was used for descriptive, comparative, and correlational summaries.
From 376 articles, only 9 studies met the criteria and were included after screening. The most common outcome was knowledge improvement, followed by increased confidence, and competence. Other outcomes encompassed Attitude, preparedness, and therapeutic engagement.
PFA is the most suggested early intervention aftermath and could be acquired by professionals and non-professionals in the mental health area. Nonetheless, to obtain the desired outcome, PFA training programs' quality is vital. This review revealed that most training programs' duration was short, without scenario-based interactions and post-training supervisions. More controlled trials are required to measure the effectiveness of PFA training on the providers.
目前的共识是，心理急救是一种实用的早期心理社会干预措施，可减轻灾难造成的痛苦。本综述旨在调查现有研究中心理急救培训的效果，并评估这些项目对受训者的影响。
于2020年8月1日检索了MEDLINE（美国国立医学图书馆，马里兰州贝塞斯达）、EMBASE（爱思唯尔，荷兰阿姆斯特丹）、PsycInfo（美国心理学会，华盛顿特区）和Cochrane图书馆（约翰·威利父子公司，美国新泽西州霍博肯），检索无语言和日期限制。使用Cochrane随机对照试验偏倚风险工具和非随机干预研究中的偏倚风险（ROBINS-I）（Cochrane，英国伦敦）来评估纳入研究的质量。使用SPSS（IBM公司，美国纽约州恩迪科特）进行描述性、比较性和相关性总结。
从376篇文章中，筛选后仅9项研究符合标准并被纳入。最常见的结果是知识提升，其次是信心增强和能力提高。其他结果包括态度、准备情况和治疗参与度。
心理急救是最常被建议的灾后早期干预措施，心理健康领域的专业人员和非专业人员均可掌握。然而，为了获得理想的效果，心理急救培训项目的质量至关重要。本综述显示，大多数培训项目持续时间较短，缺乏基于场景的互动和培训后监督。需要更多对照试验来衡量心理急救培训对提供者的有效性。
